Nursing home in Rochester, Monroe County
The Brook at High Falls Nursing Home and Rehabilitation Center
2150 St. Paul Street, Rochester, NY 14621 · (585) 342-5540
Located in Rochester, Monroe County, The Brook at High Falls Nursing Home and Rehabilitation Center is a for-profit nursing home with 28 certified beds. It is one of the smaller of the 32 certified nursing homes in Monroe County. Medicare rates it 2 out of 5 stars overall (2 for health inspections, 2 for staffing and 4 for quality measures). That overall rating is below the Monroe County average of 3.1 stars. Inspectors issued 24 health citations across 4 inspections in the current federal reporting period. CMS lists no federal fines or payment denials for the facility in the past three years. Residents receive about 3.8 hours of total nursing care per day on average, and nursing staff turnover is 76%.
Medicare star ratings
Overall Medicare rating
2 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
2 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
2 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
4 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 3.81
- RN hours per resident per day
- 0.53
- Nursing staff turnover
- 76.2%
- RN turnover
- 75.0%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 2150 St. Paul Street, Rochester, NY 14621
- County
- Monroe
- Phone
- (585) 342-5540
- Certified beds
- 28
- Average residents per day
- 26
- Ownership type
- For profit - Individual
- Legal business name
- Aga Operating LLC
- Chain affiliation
- None reported
- In Medicare/Medicaid since
- 2001
- CMS Certification Number (CCN)
- 335825
- Most recent standard inspection
- January 16, 2026
Location and getting there
The Brook at High Falls Nursing Home and Rehabilitation Center is located at 2150 St. Paul Street in Rochester, Monroe County, in the Finger Lakes region (ZIP 14621). The nearest hospital is Rochester General Hospital, about 1.7 miles away. Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 4
- Total health citations
- 24
- Serious citations (harm or immediate jeopardy)
- 0
- Immediate jeopardy citations
- 0
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| January 16, 2026 | Standard health inspection | 5 | Potential for harm (widespread) | View CMS report |
| November 14, 2024 | Standard health inspection | 9 | Potential for harm (pattern) | View CMS report |
| February 16, 2024 | Complaint investigation | 2 | Potential for harm (pattern) | View CMS report |
| May 10, 2023 | Standard health inspection | 8 | Potential for harm (pattern) | View CMS report |
Federal penalties
No federal fines or payment denials are listed for this facility in the CMS penalty data we compiled. Penalties are only one indicator; review the inspection reports below for cited deficiencies.
Complaints to the New York State Department of Health
- Complaints received
- 46
- Complaints per 100 beds
- 196.8
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 9
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Aryeh Grinspan | Direct owner (5% or greater) — 25% (since 10/11/2019) |
| Abraham Mayer | Direct owner (5% or greater) — 25% (since 10/11/2019) |
| Giorgio Mayer | Direct owner (5% or greater) — 50% (since 10/11/2019) |
| Aryeh Grinspan | Governing body (since 10/11/2019) |
| Mark Ilyagu | Operational/managerial control (since 08/25/2023) |
| David Wettenstein | Operational/managerial control (since 07/01/2023) |
| Tzvi Licht | Owner/partner of the SNF's administrator (since 12/01/2025) |
| Baila Rubin | Owner/partner of the SNF's administrator (since 12/01/2025) |
| Shoshana Rubin | Owner/partner of the SNF's administrator (since 12/01/2025) |
| Joel Fried | Administrator/director of the SNF (since 04/30/2025) |
| Wolf Green | Administrator/director of the SNF (since 04/30/2025) |
| Mark Ilyagu | Administrator/director of the SNF (since 12/01/2025) |
| David Wettenstein | Administrator/director of the SNF (since 11/13/2025) |
Official reports and records
These links open official and independent records for CCN 335825. Read several inspections, not only the most recent, to see whether problems repeat.